HOCKEY DEVELOPMENT CENTRE FOR ONTARIO - Quest for Gold - Ontario Athlete Assistance Program 2017-2018
←
→
Page content transcription
If your browser does not render page correctly, please read the page content below
HOCKEY DEVELOPMENT CENTRE FOR ONTARIO
Quest for Gold – Ontario Athlete Assistance Program 2017-2018
ATHLETE SELECTION CRITERIA
1.0 Quest for Gold – Ontario Athlete Assistance Program 2017-2018 (OAAP) is funded by the Government of
Ontario, through the Ministry of Tourism, Culture and Sport (MTCS), and operated through the Sport,
Recreation & Community Programs Division. The overarching goal of the Quest for Gold – OAAP is directly
related to the High Performance Sport goal of the Canadian Sport Policy – that Canadians are systematically
achieving world-class results at the highest levels of international competition – by improving the performance
and number of Ontario athletes performing at the national and international level, thereby contributing to the
improved performance of Canada at international competitions.
Specific objectives of the program are:
a) To help athletes continue their pursuit of athletic excellence at the highest levels of national and
international competition;
b) To encourage athletes to stay in Ontario to live and train;
c) To compensate athletes for earnings lost while training;
d) To enable athletes to successfully pursue excellence in sport while fulfilling their educational goals;
e) To increase athlete access to improved high performance coaching; and
f) To enhance training and competitive opportunities available to athletes.
The intent of the OAAP is to provide funding to individual athletes in the sport’s Train to Train and Train to Win
categories based on their demonstrated commitment to high performance sport, allowing them to continue to
pursue athletic excellence at the highest levels of national and international competition. Only those athletes
that meet the required minimum performance standard detailed in this Selection Criteria will be
considered for this program. Ideally an athlete will first receive a Quest for Gold “Ontario Card” for 1 to 3
years, which will allow them to train towards the goal of a national team position in subsequent years. Once an
Ontario athlete reaches the national level and becomes a recipient of Sport Canada’s carding program, they
become eligible for the Quest for Gold “Canada Card”. Athletes who are not planning to train towards this level
of competition should not apply for this program.
2.0 How does it work?
In accordance with the OAAP guidelines, HOCKEY DEVELOPMENT CENTRE FOR ONTARIO develops
sport-specific selection criteria and forms a Selection Committee that will apply these criteria. The top-ranked
athletes, based on the criteria, will be awarded Ontario Card status in 2017-2018. This Selection Criteria has
been approved by the Board of Directors and reviewed by MTCS staff. Nominated athletes will be required to
sign and comply with an Athlete Agreement between the athlete and HOCKEY DEVELOPMENT CENTRE
FOR ONTARIO. Carding status will be for one year starting April 1, 2017 ending March 31, 2018.
Carded athletes will be required to compete exclusively on behalf of the Province of Ontario at National
Championship events and for Canada at International Championship events, for a period of one year from the
date carding is approved and acknowledge Ontario as their permanent place of residence on athlete profiles,
Media Guides, PSO/NSO and personal websites, and in similar types of public communications.2.1 For 2017-2018, the MTCS has allocated HOCKEY DEVELOPMENT CENTRE FOR ONTARIO a total of 20
Ontario cards.
2.2 An athlete’s age will be determined as of December 31, 2017
HOCKEY DEVELOPMENT CENTRE FOR ONTARIO is not obligated to assign all Ontario Cards if there
are an insufficient number of athletes who have demonstrated potential to be considered for future
National Teams.
2.3 The Selection Committee, as approved by the HOCKEY DEVELOPMENT CENTRE FOR ONTARIO Board of
Directors is comprised of the following members:
Darrell Woodley, Director of Central Scouting, Ontario Hockey League (OHL)
Wayne Dillon, Executive Director HDCO
Wayne Salatino, Chairman HDCO
Ted Baker, High Performance Committee Chairman
How much funding is available?
The exact level of funding for the 2017-2018 carding year will be determined by the MTCS after the total
number of athletes nominated for Ontario Card status has been determined. Funding will be released prior to
March 31, 2018.
How will the HOCKEY DEVELOPMENT CENTRE FOR ONTARIO Selection Committee
decide who receives funding?
The HOCKEY DEVELOPMENT CENTRE FOR ONTARIO Selection Committee will use the Ministry of
Tourism, Culture and Sport Eligibility Criteria and the Sport Specific Selection Criteria detailed below to
determine which athletes will be nominated for Ontario Card status in 2017-2018:
The following sports specific criteria will be used in the identification, evaluating and selecting of male hockey
players for Ontario Athlete Assistance Program (OAAP) Ontario Cards.
The 20 OAAP male cards that have been allocated to hockey will be awarded to the top ranked under 16 years
of age as of December 31, 2017, who are competing at the AAA level of hockey in the Province. The Hockey
Development Centre for Ontario (HDCO) selection committee will determine which athletes will be awarded the
cards based on their evaluation and ranking methods. Ties will be decided by a majority vote of the
aforementioned selection committee.
3.0 Ministry of Tourism, Culture and Sport Eligibility Criteria:
All athletes must meet the Ministry of Tourism, Culture and Sport’s minimum athlete eligibility criteria:
· Athlete must be a Canadian citizen or permanent resident (previously known as a Landed Immigrant).
· Athlete must be a permanent resident of Ontario for one year prior to his/her nomination for carding
status, (and continue to be a permanent resident throughout the term of the agreement).
· Athletes who have achieved Canada Card status (carded by Sport Canada) are not eligible for Ontario
Cards.
· Athletes must be living in and continuing to train in Ontario.
3.1 Residency Exceptions:
Exceptions to these criteria, known as a “Residency Exception” will be considered on a case specific
basis by the HOCKEY DEVELOPMENT CENTRE FOR ONTARIO Selection Committee provided that the
athlete can substantiate in writing that:
(a) He/She cannot receive the required level of training in Ontario and is out of the province temporarily
during the year (i.e. due to lack of facilities, coaching, competitions);
(b) He/She must attend a post-secondary institution out-of-province either because the course of study is
not offered by an Ontario institution; or
2(c) It is more financially feasible to attend a post-secondary institution out-of-province, or other
extenuating circumstances that require the athlete to be out of the province.
Any change in an athlete’s residency status must be communicated in writing to the PSO/MSO immediately.
The onus is on the athlete to demonstrate that he/she needs to be out-of-province for one of the above
reasons. The athlete must submit written documentation to the HOCKEY DEVELOPMENT CENTRE
FOR ONTARIO by no later than FEBRUARY 5, 2018, clearly indicating how they meet a residency
exception(s).
Athlete’s applying for a Residency Exception related to exception (a) above, who are training at an NSO-
approved National Training Centre MUST include a letter from the NSO outlining their support for the athlete,
the progress the athlete is making and the athlete’s potential to make the national team level. Additional
documentation may include, but shall not be limited to an explanation of why the athlete is training out of
province, whether or not the athlete was formally invited by the NSO, what additional opportunities are being
made available beyond those provided in Ontario; and any other information that will illustrate that the athlete
is receiving enhanced training while still meeting all obligations of the HOCKEY DEVELOPMENT CENTRE
FOR ONTARIO.
3.2 Length of time living outside Ontario:
Athletes living outside Ontario for more than 30 consecutive days within the ministry fiscal year 2017-2018 for
athletic or academic purposes must demonstrate, to the satisfaction of the PSO/MSO Selection Committee
that appropriate training programs are in place and are being monitored by the PSO/MSO. The onus is on the
athlete to:
1. Provide a written plan outlining their training and competition plans to the PSO/MSO prior to their
departure from Ontario, as part of their Residency Exception request (due FEBRUARY 5, 2018); and
2. Adhere to the PSO/MSO-approved competition and training plan throughout the carding cycle. At a
minimum, this requires regular (bi-monthly) contact by the athlete with the PSO/MSO (HOCKEY
DEVELOPMENT CENTRE FOR ONTARIO EXECUTIVE DIRECTOR); and
3. Submit regular (bi-monthly) training logs to the PSO/MSO to track progress against the PSO/MSO-
approved competition and training plan.
***Athletes who were formally invited to and are currently participating in their NSO’s national team training
program are exempt from this requirement.***
3.3 Ministry criteria continued:
• Athlete must be a member in good standing with PSO/MSO and NSO where applicable;
• Athlete must have entered into a Sports Organization - Athlete Agreement with his or her PSO/MSO and
must be in full compliance with the terms and conditions of that agreement;
• Athlete must have met all terms and conditions of any previous Quest for Gold Sports Organization –
Athlete Agreements to the satisfaction of the PSO/MSO in order to be eligible for consideration in 2017-
2018;
• Athlete must demonstrate a commitment and dedication to a proper training and competitive program, the
goal of which is to continue to train towards a national team position and Sport Canada carding;
• Athlete’s coach should be minimum Level 2 NCCP certified or trained status Competition Stream or the
sport’s equivalent in the Instruction Stream, or be engaged in completing this training, as determined by
the PSO;
• Athlete must not be under a sanction that prohibits competition as per the Canadian Anti-Doping Policy;
• Athlete must be attending an educational institution full-time (i.e. elementary and secondary schools):
Exceptions will be made provided that the athlete can substantiate that his/her training will not
allow for full-time attendance or if an athlete requires special needs that preclude full or part-time
attendance (e.g. Athlete with a disability (AWAD) athlete);
3• Athletes who have completed their area of study at the secondary level (i.e. high school) and who continue
to train towards participation in major national or international competitions will also be considered;
• If eligible, the athlete must compete, and continue to compete solely for Ontario and/or Canada for one
year from the date of the Minister’s letter informing the athlete of acceptance into OAAP program, at
Canada Games and other national competitions involving provincial team competitions;
• Athlete must not receive financial support from any other provincial/territorial athlete assistance program.
This does not include academic scholarships, bursaries, student grants, student loans, social assistance,
disability pensions, and other forms of financial assistance that have nothing to do with competitive sport.
• Eligibility will be limited to Ontario junior-aged athletes, ages 11-22 (“junior-aged” refers to chronological
age, not a sport’s specific age category - only exception is for PSO/MSOs using 30% of Ontario Card
allotment for athletes older than 22 years of age who have been identified as a potential next generation
national team athlete by the PSO/MSO’s selection process.
3.4 Residency Exemption for Military Families: The one-year Ontario residency requirement is waived for any
Ontario Card or Canada Card applicant who is a spouse or dependant of a: Regular Force member of the
Canadian Forces; or Reservist currently deployed by the Canadian Forces into active service and who takes
up residence in Ontario during the fiscal year. This means that eligible military family members now qualify for
OAAP funding immediately upon becoming residents of Ontario. Please contact HOCKEY DEVELOPMENT
CENTRE FOR ONTARIO for more information if you are applying for this exemption.
• To be deemed a potential next generation national team athlete, the athlete must be age-eligible to
compete on the national team in the year following receipt of Ontario Card funding.
• All athletes under the age of 18 must have their parent or legal guardian sign their OAAP application form.
Cheques will be processed in the name of the eligible athlete.
• An athlete can only be nominated to receive Quest for Gold funding in one sport.
4.0 Athletes funded through the Sport Canada AAP:
Ontario athletes who have been nominated and accepted for funding through Sport Canada’s AAP within the
government of Ontario’s fiscal year (April 1, 2017 to March 31, 2018) and who continue to meet AAP and
OAAP eligibility requirements will automatically be considered for a Quest for Gold ‘Canada Card’. MTCS will
contact those athletes directly at the mailing and email addresses the athlete provided to Sport Canada.
Athletes are solely responsible for ensuring that their contact information is kept accurate and up to date at all
times.
An athlete who received Sport Canada AAP carding during any part of MTCS’ fiscal year April 1, 2016 to
March 31, 2017 and/or any part of fiscal year April 1, 2017 to March 31, 2018 and is no longer in receipt of
Sport Canada Athlete Assistance shall not be eligible to receive Quest for Gold funding during fiscal year
2017-2018 (April 1, 2017 to March 31, 2018.)
The intent of this rule is to prevent athletes whose performance levels and rankings no longer qualify them for
Sport Canada carding from taking an Ontario Card from a future national-level athlete.
4.1 Canada Card Exception (CCE)
Exceptions may apply to this rule (known as a Canada Card Exception (CCE)) and will be considered by the
Ministry on a case-by-case basis. Exceptions may include, but may not be limited to logistical or administrative
changes (e.g. reduction in Sport Canada carding allocation), injuries, etc.
It is the sole responsibility of the athlete to contact HOCKEY DEVELOPMENT CENTRE FOR ONTARIO
Selection Committee prior to (FEBRUARY 5, 2018) to request a CCE. The athlete must submit, in writing, an
explanation of why they have not been, or do not expect to be re-carded by their NSO. The submission must
include a statement from the NSO, signed and dated on their letterhead, confirming that the athlete still has
potential to return to the NSO’s carding program in the future. It is the responsibility of the athlete to submit
4this letter to the PSO; the HOCKEY DEVELOPMENT CENTRE FOR ONTARIO will not obtain this letter from
the NSO on the athlete’s behalf.
HOCKEY DEVELOPMENT CENTRE FOR ONTARIO will then contact MTCS in writing prior to the submission
of the Athlete Nomination Form to seek individual Canada Card Exceptions. HOCKEY DEVELOPMENT
CENTRE FOR ONTARIO is not responsible for seeking a CCE for any athlete unless requested to do so by
the athlete as detailed above.
5.0 National College Athletic Association (NCAA):
On August 1, 2013, the NCAA revised their By-law that previously prevented an athlete from accepting grants
from a governmental entity, such as Quest for Gold. Despite this change, any athlete considering an
application to an NCAA institution is strongly encouraged to contact the NCAA Eligibility Center prior to
applying for QFG funding.
The onus is entirely on the athlete to determine the impact of accepting OAAP funding on current or future
NCAA eligibility and to decide whether or not to accept OAAP funding. The athlete will be required to
acknowledge this onus and responsibility when signing the OAAP Ontario Card application form and agreeing
to the related terms and conditions of the program. Athletes are strongly encouraged to contact the NCAA
Eligibility Center to determine the impact of Quest for Gold - OAAP funding on current or future eligibility for a
NCAA scholarship or on eligibility to compete in a non-scholarship NCAA sport.
National Collegiate Athletic Association www.ncaa.org
NCAA Eligibility Center mailing address:
NCAA Eligibility Center P.O. Box 7136, Indianapolis, IN 46207
Toll-free phone number (U.S. callers) - Customer service line – 877-262-1492
Phone number (international callers) - Customer service line – 317-223-0700
Fax number - 317-968-5100
6.0 HOCKEY DEVELOPMENT CENTRE FOR ONTARIO Athlete Selection Criteria:
The following process will be used to evaluate and rank our athletes who have been identified for
OAAP Ontario cards.
The selection committee will use evaluations from our regional Under 15 camps that are held
throughout the Province each year. Athletes who have been identified from the Under 15 camps
will be tracked with their club teams by Ontario Hockey League (OHL) Central Scouting using the
following evaluation charts as a basis to assign a score for the various attributes required for the
high performance forward, defensemen and goaltender male hockey player positions. The
maximum total points a player can receive is 380 and a player must receive a minimum of 245
points in order to be eligible for Quest for Gold nomination.
See separate Player Evaluation Sheets for Forwards, Defence and Goalie
• The point scoring system is as follows:
• NA= 0 points
• P= Poor 1-2 points
• A= Average 3-4 points
• G= Good 5-6 points
• VG= Very Good 7-8 points
• E= Excellent 9-10 points
The 20 OAAP male cards that have been allocated to hockey will be awarded to the top ranked under 16 years
of age as of December 31, 2017, who are competing at the AAA level of hockey in the Province. The Hockey
Development Centre Ontario (HDCO) selection committee will determine which athletes will be awarded the
cards based on their evaluation and ranking methods.
5Mandatory Requirements
Athletes must meet the general eligibility requirements.
Athletes must have been registered with one of the HDCO member partners for a minimum of 2 seasons.
Participating member partners having players involved in this initiative are:
Greater Toronto Hockey League (GTHL)
Ontario Minor Hockey Association (OMHA)
Northern Ontario Hockey Association (NOHA)
Hockey Northwestern Ontario (HNO)
Hockey Eastern Ontario Minor Hockey Association (HEO Minor)
Alliance Hockey (AH)
Level of Participation:
Must be Under 16 years of age as of December 31, 2017.
Playing AAA classification of hockey, which is the highest level of participation in the Province.
Participation in the Under 15 Regional camps
Identified to participate in the U16 Gold Cup competition
Athletes’ participation with their AAA club teams.
7.0 Breaking a Tie
If there is a tie between 2 athletes the HDCO selection committee will decide based on the following:
Forwards Total Points
Defensemen Plus/Minus Statistics
Goaltenders Goals against Average
8.0 Failure to Meet Selection Criteria for Health-related Reasons
HOCKEY DEVELOPMENT CENTRE ONTARIO has no criteria for ranking an athlete who is unable to meet
these requirements as detailed above due to illness or injury.
9.0 Alternates: HOCKEY DEVELOPMENT CENTRE FOR ONTARIO will also nominate alternates to those
athletes nominated for Ontario Card status. Alternates will be those athletes who are ranked directly behind
those athletes nominated for the allotment of Ontario Cards in a particular category/discipline. The names of
alternates will be published along with the names of nominated athletes. If an athlete drops out or is removed
from the OAAP an alternate will be substituted into that athlete’s position, provided that:
• Alternate is substituted within 2017-2018 fiscal year;
• An alternate meeting all requirements is available from the same category/discipline/card level
(Full/Half);
• Funding for athlete being substituted is still available within fiscal year (e.g. full funding for card has not
already been paid out to athlete no longer in program).
10.0 To Apply:
There is no formal application process required. Athletes will be nominated based on the results from the
criteria stated above. For more information:
Wayne Dillon, Executive Director
HOCKEY DEVELOPMENT CENTRE FOR ONTARIO
6wdillon@hdco.on.ca
416-426-7272 or 1-888-843-4326
10.1 Any athlete requesting a “Residency Exception” must submit this information by FEBRUARY 5, 2018 as
detailed above.
10.2 It is the sole responsibility of the athlete to provide a full and complete application that meets all stated
requirements. HOCKEY DEVELOPMENT CENTRE FOR ONTARIO will neither review applications in
advance of the deadline in order to make applicants aware of any missing/incorrect information and/or
attachments nor make corrections on behalf of the athlete. Any revisions on the part of the athlete will only be
accepted prior to the posted submission deadline.
Applications that are sent directly to the Ministry of Tourism, Culture and Sport rather than to HOCKEY
DEVELOPMENT CENTRE FOR ONTARIO will not be considered valid or to have been received by the
HOCKEY DEVELOPMENT CENTRE FOR ONTARIO deadline.
10.3 The Sports Organization – Athlete Agreement will only come into effect if an athlete is selected and accepts
carding status through the OAAP program. Athletes who fail to return a signed Athlete Agreement by the
deadline date will not be carded.
10.4 HOCKEY DEVELOPMENT CENTRE FOR ONTARIO will publish or make known a draft list of athletes
nominated for Ontario Card status by no later than February 16, 2018.
In the event of a conflict or inconsistency between the MTCS eligibility requirements detailed in the MTCS
binder provided to PSO/MSOs and duplicated in the Athlete Handbook provided to each nominated athlete
and the eligibility requirements listed in the PSO/MSO Athlete Selection Criteria Document prepared by the
PSO/MSO, the MTCS Binder/Athlete Handbook shall prevail.
11.0 Appeals
Athletes who have not been nominated for an Ontario Card by the HOCKEY DEVELOPMENT CENTRE FOR
ONTARIO Selection Committee or who have been nominated for a ‘Half Card’ versus a ‘Full Card’, where
applicable will be allowed to appeal that decision by filing a “Notice of Appeal” with MTCS. Appeals will be
heard by an Appeals Committee comprised of representatives from the sport community, selected by the
MTCS.
Grounds for appeals will be limited strictly to issues related to:
A) Whether or not the Selection Committee has completed the selection process in accordance with its
own published selection criteria and related procedures;
B) Whether or not the Selection Committee applied the selection criteria in a manner that was free from
bias, discrimination and/or conflict of interest.
Issues related to the specific content or selection requirements contained in the HOCKEY DEVELOPMENT
CENTRE FOR ONTARIO Selection Criteria are not grounds for an appeal and should therefore be discussed
directly with the leadership of HOCKEY DEVELOPMENT CENTRE FOR ONTARIO.
Please note that before an athlete can file a Notice of Appeal, he or she must first ask HOCKEY
DEVELOPMENT CENTRE FOR ONTARIO for reasons explaining why he or she was not nominated for an
Ontario Card.
If the athlete is not satisfied with the HOCKEY DEVELOPMENT CENTRE FOR ONTARIO response, the
athlete may submit a Notice of Appeal, found below. A Notice of Appeal will only be accepted from the
athlete or their parent/guardian on the MTCS-provided template (typed or hand-printed, no hand-written
entries) through email, regular post, registered mail, courier or delivered in person. One appeal cannot be
7written on behalf of multiple athletes. The Notice of Appeal must be received by MTCS by noon on the
deadline day. Appeals that are delivered personally or by courier shall be deemed to be received on the date
of delivery.
Once MTCS has received the Notice of Appeal, it will share it with HOCKEY DEVELOPMENT CENTRE FOR
ONTARIO, who will then submit a “Response” with MTCS by a specified deadline. The Response will outline
why HOCKEY DEVELOPMENT CENTRE FOR ONTARIO believes that the Selection Committee’s decision
not to nominate the athlete should be upheld by the Appeals Committee. MTCS will share the HOCKEY
DEVELOPMENT CENTRE FOR ONTARIO Response with the athlete.
If, after receiving the HOCKEY DEVELOPMENT CENTRE FOR ONTARIO Response, the athlete believes that
HOCKEY DEVELOPMENT CENTRE FOR ONTARIO has raised new or additional reasons to justify the
Selection Committee’s decision not to nominate the athlete for an Ontario Card, then the athlete will have an
opportunity to file a “Reply” with MTCS, responding to these additional reasons. The Reply must be limited to
these additional reasons and cannot be used to make submissions already raised in the Notice of Appeal, or
that the athlete neglected to include in the Notice of Appeal. The Reply will only be accepted on the MTCS-
provided template.
Once MTCS receives the Notice of Appeal, the Response, and the Reply (if applicable), it will provide those
materials to the Appeals Committee. The Appeals Committee will discuss all appeals at once. During its
review of the appeals, the Appeals Committee reserves the right to request additional information from both
the athlete and HOCKEY DEVELOPMENT CENTRE FOR ONTARIO.
After reviewing an appeal the Appeals Committee will have the authority to:
1. Direct HOCKEY DEVELOPMENT CENTRE FOR ONTARIO to redo the selection process using the
correct criteria/process and submit a new list of nominated athletes;
2. Deny the appeal; or
3. Allow the appeal and nominate the appellant for carding status.
Once the Appeals Committee has reached its decision, it will contact the athlete and HOCKEY
DEVELOPMENT CENTRE FOR ONTARIO in writing to communicate its decision and the reasons therefore.
An athlete who has had his or her appeal denied is not permitted to submit a second appeal to the Appeals
Committee on the same or different grounds.
Note: HOCKEY DEVELOPMENT CENTRE FOR ONTARIO is encouraged to resolve disputes or
disagreements informally with athletes who have not been nominated to avoid, wherever possible, formal
appeals.
11.1 The deadline for athletes to submit an “Athlete’s Notice of Appeal” to the Appeals Committee is February
27, 2018 at 12 noon.
11.2 Appeals must be completed on the Notice of Appeal template below and will be directed to:
Quest for Gold Appeals Committee
c/o Sport, Recreation and Community Programs Division
Ministry of Tourism, Culture and Sport
777 Bay Street, 18th Floor
Toronto ON M7A 1S5
82017-2018 Quest for Gold – Ontario Athlete Assistance Program
Athlete’s Notice of Appeal Template
The deadline for an athlete to submit an appeal to the Appeals Committee is 12 noon on February
27, 2018. Appeals will only be accepted on the MTCS-provided Notice of Appeal template.
Please refer to the appeals section of your PSO/MSO’s Athlete Selection Criteria document
prior to completing this form.
Return form to:
Quest for Gold Appeals Committee
c/o Ministry of Tourism, Culture and Sport
Sport, Recreation and Community Programs Division
777 Bay Street, 18th Floor, Toronto ON M7A 1S5 Email: Scott.Cooper@ontario.ca
Full Name
Address City
Postal Code Phone Email
Sport / PSO
Reason for Appeal (Check all that apply):
Whether or not the PSO/MSO has completed the selection process in accordance with its own
published selection criteria and related procedures;
Whether or not the PSO/MSO applied the section criteria in a manner that was free from bias,
discrimination and/or conflict of interest.
Provide a two-line summary of the reason for the appeal:
In the space below, (continue on to next page as needed) provide the reasons communicated
to you by your PSO/MSO as to why you were not nominated for an Ontario Card, and the date
the information was provided. (Note: This Appeal will not be accepted unless it contains a
response from your PSO/MSO.)
Date of PSO response:__________________
9In the space below (continue on to next page as needed), provide a detailed account of the
situation to allow the Appeals Committee to understand the basis of the appeal (please
submit additional pages/supporting documentation as necessary):
PLEASE NOTE that all decisions of the Appeals Committee are final.
A. Print Name of Appellant Signature of Appellant Date
All information provided to the Appeals Committee will be shared with both the Appellant
and the PSO/MSO.
10You can also read
